NPIMap

Individual provider Active NPI

Javar Myatt-Jones, M.D.

  • Family Medicine Physician
  • Tuscumbia, AL
National Provider Identifier
1174807663
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125059790 Issued in IL
Practice address
1404 E Avalon Ave
Tuscumbia, AL 35674-1773
Phone
(256) 381-5507
Fax
(256) 314-0610
NPI assigned
Oct 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125059790 IL Primary

Addresses

Primary practice location

1404 E Avalon Ave
Tuscumbia, AL 35674-1773

Mailing address

1620 Bridlewood Dr
Florence, AL 35630-1180

Other identifiers 1

IdentifierTypeStateIssuer
1326373861OtherALSHOALS PRIMARY CARE, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411000038 AL Practitioner - Family Practice 8628398252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoals Primary Care, LLCGroup PAC ID 1557406246, 41 clinicians

Practice addresses (Care Compare)

1404 E Avalon Ave
Tuscumbia, AL 35674-1773
Phone (256) 381-5507

340 Cox Blvd
Sheffield, AL 35660-4020
Phone 25638344732080

342 Cox Blvd
Sheffield, AL 35660-4020

342 Cox Boulevard
Sheffield, AL 35660-4000
Phone (256) 383-4473

426 Cox Blvd
Sheffield, AL 35660-4000
Phone (256) 389-1990

Hospital & facility affiliations

  • Preferred Home Health Home health agency, Florence, AL, CCN 017177
  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Keller Home Care Home health agency, Red Bay, AL, CCN 017125
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • JW Sommer Rehabilitation Unit Inpatient rehabilitation facility, Muscle Shoals, AL, CCN 01T157

Merit-based Incentive Payment System (MIPS)

Final score
86.62 of 100Reported as individual
Quality
71.54
Promoting interoperability
82
Improvement activities
40
Cost
85.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125059790ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
HH Health System - Shoals LLC Current Accepting new patients
Housecall Professionals Inc PastSince Jul 1, 2017 Accepting new patients
RCHP - Florence LLC Past Accepting new patients
HH Health System - Shoals LLC Past Accepting new patients

Locations

202 E Dr Hicks Blvd
Florence, AL 35630
Phone (253) 383-4473

1369A George Wallace Hwy
Russellville, AL 35654
Phone (256) 331-9700

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

1404 E Avalon Ave
Tuscumbia, AL 35674
Phone (256) 381-5507

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1174807663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BRIDLEWOOD DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-381-5507",
            "fax_number": "256-314-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYATT-JONES",
        "first_name": "JAVAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125059790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHOALS PRIMARY CARE, LLC",
            "identifier": "1326373861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.